CAJ | 학술논문

目的：调查中老年人群微量白蛋白尿（microalbuminuria，MAU）的患病率，探讨MAU的相关危险因素。方法2013年4月采取随机整群抽样方法对本院体检的1086例中老年人进行健康问卷调查和实验室相关指标检测，测定受试者尿白蛋白/肌酐比值（albuminuria to creatinine ratio，ACR）。统计调查人群中MAU患病率，对可能影响ACR的相关因素进行回归分析。结果受检者中MAU检出率为12.80%（139/1086），其中，男性检出率为12.18%（119/977），女性检出率为18.35%（20/109），二者比较无显著差异（P＞0.05）。男性受检者Logistic回归分析显示，年龄（OR＝1.038）、空腹血糖（OR＝1.533）、腰围（OR＝1.033）是MAU的独立危险因素。结论应加强对中老年人群相关危险因素的监测，尽早干预，延缓肾脏病进展。
목적：조사중노년인군미량백단백뇨（microalbuminuria，MAU）적환병솔，탐토MAU적상관위험인소。방법2013년4월채취수궤정군추양방법대본원체검적1086례중노년인진행건강문권조사화실험실상관지표검측，측정수시자뇨백단백/기항비치（albuminuria to creatinine ratio，ACR）。통계조사인군중MAU환병솔，대가능영향ACR적상관인소진행회귀분석。결과수검자중MAU검출솔위12.80%（139/1086），기중，남성검출솔위12.18%（119/977），녀성검출솔위18.35%（20/109），이자비교무현저차이（P＞0.05）。남성수검자Logistic회귀분석현시，년령（OR＝1.038）、공복혈당（OR＝1.533）、요위（OR＝1.033）시MAU적독립위험인소。결론응가강대중노년인군상관위험인소적감측，진조간예，연완신장병진전。
ObjectiveTo investigate the prevalence of microalbuminuria (MAU) and its related factors in middle-aged and elderly population.Method1086 subjects were recruited. Health questionnairs and related laboratory indexes were investigated by cluster random sampling. Urine albumin to creatinine ratio (ACR) was used to screen for MAU. The data were analyzed with multivariate Logistic regression analysis to explore the related factors for MAU.ResultThe overall prevalence of MAU in middle-aged and elderly population was 12.80%(139/1086), with male as 12.18% (119/977) and female as 18.35% (20/109) (P>0.05). The independent risk factors of MAU in men were age (OR=1.038), fasting blood-glucose (OR=1.533), waist circumference (OR=1.033).ConclusionThe monitoring of related risk factors should be enhanced in middle-aged and elderly population. Intervention should be carried out as early as possible to delay the process of kidney disease.